person
Krystal Dawn Portis
Addiction (Substance Use Disorder) Counselor in Urbana, Ohio
NPI 1760165450

Krystal Dawn Portis is an Addiction (Substance Use Disorder) Counselor based in Urbana, OH and is specialized in Addiction (Substance Use Disorder). Krystal Dawn Portis practices in Urbana, OH. The NPI Number for Krystal Dawn Portis is 1760165450 and holds a License No. CDCA185123 (Ohio).

The current practice location address for Krystal Dawn Portis is 1675 E Us Highway 36, Urbana, OH and can be reached out via phone at 937-536-0288.

Location: 1675 E Us Highway 36, Urbana, OH, 43078-9600
person
Provider Profile Details
NPI Number
1760165450
Provider Name
Krystal Dawn Portis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1675 E Us Highway 36, Urbana, OH, 43078-9600
Phone Number
937-536-0288
Fax Number
Provider Enumeration Date
08/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1675 E Us Highway 36
City
State
Zip
43078-9600
Phone Number
937-536-0288
Fax Number
person
Provider Business Mailing Address Details
Address
1675 E Us Highway 36
City
State
Zip
43078-9600
Phone Number
937-536-0288
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA185123 (Ohio)
Definition
Definition to come...
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